| NPI | 1992150692 |
|---|---|
| Former Name | CAITLIN FOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: VA 0101263046) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101263046) |
| Enumeration Date | 2016-05-01 |
| Last Update Date | 2020-05-13 |